Individual
MS. DEMETRIAL EVETTE CHANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1241 PARAMOUNT CT, HEPHZIBAH, GA 30815-4554
(706) 466-3866
Mailing address
1241 PARAMOUNT CT, HEPHZIBAH, GA 30815-4554
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN170283
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN170283
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000606317B
—
GA
Enumeration date
12/17/2012
Last updated
01/24/2026
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